1|Page
CLC EXAM 2025/2026 NEWEST ACTUAL EXAM COMPLETE
200 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) || ALPP CLC EXAM STUDY
GUIDE || UPDATED VERSION ACTUAL EXAM || AWARDED
A+ ||
(T/F): Messages from the breast travel through the nervous system to the
brain. Then hormones travel to the breast through the blood stream. -
ANSWER-True
From more recent research we now know that there are ___ nipple pores
functioning per feeding.
o 3-5
o 9-27
o1
o 15-29 - ANSWER-3-5
The pituitary gland is important to:
o Oxytocin only
o Prolactin and oxytocin
o Prolactin only
o None of the lactation hormones - ANSWER-Prolactin and oxytocin
(T/F): Only new mothers have prolactin. - ANSWER-false
(T/F): As frequency of feeding decreases, prolactin levels decrease. -
ANSWER-true
(T/F): Oxytocin is released only by nipple stretching. - ANSWER-false
What is?
- Influenced by nipple stretching among other stimuli
- Temporarily affected by stress - adrenalin - ANSWER-oxytocin
2025/2026
,2|Page
What is?
- Dependent on nipple stimulation
- Not decreased by stress - ANSWER-prolactin
(T/F): Mammal milk is the same for every species. - ANSWER-false
Mammal species with higher water content:
o Feed less frequently
o Do not have good milk
o Feed more frequently
o Only need to feed during the day - ANSWER-Feed more frequently
(T/F): Deer milk has more protein than goat milk. - ANSWER-true
(T/F): Human milk is higher in fat than dog milk. - ANSWER-false
_________ is one of the highest in lactose of all mammal milks, high in
water, low in protein and fat - a very dilute mammal milk - ANSWER-human
milk
(T/F): Colostrum is made under the influence of pregnancy. - ANSWER-
true
(T/F): Prolactin from frequent nipple stimulation and frequency of milk
removal triggers lactogenesis 2. - ANSWER-false
In general, preterm milk appears to be higher in ____ than mature milk.
o Oxytocin
o Volume
o Protein, fat, and electrolytes
o Water and prolactin - ANSWER-protein, fat, and electrolytes
(T/F): Working mothers should be sure to pump an ever-increasing volume
of milk to meet the nutritional needs of a growing child. - ANSWER-False
Does breastmilk composition change as a baby gets older? - ANSWER-yes
- fat content increases which increases the calories w/out increasing the
amount of volume
2025/2026
,3|Page
(T/F): According to research, it turns out that hind milk always is the highest
fat milk. - ANSWER-false
(T/F): Faster milk removal is associated with increased fat content. -
ANSWER-true
(T/F): The gut pH for the breastfed baby gut is more basic than of the gut of
a formula fed baby. - ANSWER-false
(T/F): There is a higher iron content in breastmilk than formula. - ANSWER-
false
(T/F): Prostaglandins are an example of something that stimulate growth
and development of the gastrointestinal tract and gastrointestinal motility. -
ANSWER-true
(T/F): Secretory IGA is a component of infant formula only. - ANSWER-
false
(T/F): Suckling is something that decreases gastrin and increases
somatostatin. - ANSWER-false
(T/F): A species own milk decreases somatostatin. - ANSWER-true
(T/F): Babies lose more weight in the first post-partum days if there is labor
prior to a cesarean. - ANSWER-false
According to the American Academy of Pediatrics, all breastfeeding
newborn infants should be seen in the pediatric office by ______ days of
age.
o After 14
o 3 to 5
o 1 to 2
o 5 to 7 - ANSWER-3 to 5
Undernourished mothers make less milk than nourished mothers. -
ANSWER-false
Drinking more water increases the milk supply of breastfeeding mothers. -
ANSWER-false
2025/2026
, 4|Page
A mother with a 32 A cup bra size will not make as much milk as a mother
with a C cup size. - ANSWER-false
A staff member is fond of telling mothers how expensive it is to formula
feed and how inexpensive it is to breastfeed. What is she doing when she
talks to mothers on this topic?
o Prolonging breastfeeding
o Promoting breastfeeding
o Protecting breastfeeding
o Supporting breastfeeding - ANSWER-promoting breastfeeding
Who currently collects the most comprehensive breastfeeding statistics in
the US?
o The United States Breastfeeding Committee
o Ross Laboratories
o The Centers for Disease Control (CDC)
o The US Department of Agriculture (WIC) - ANSWER-The Centers for
Disease Control (CDC)
Which of the following statements about prolactin is TRUE?
o Prolactin is a great laxative.
o Prolactin causes milk to be released.
o Prolactin causes milk to be made.
o Prolactin is produced in the renal gland. - ANSWER-Prolactin causes milk
to be made.
Which of the following mechanisms causes oxytocin to be released?
o Complete delivery of the placenta
o Elevated levels of gastrointestinal hormones
o Frequent feeding and milk removal
o Nipple stretching with appropriate latch on - ANSWER-Nipple stretching
with appropriate latch on
Lactogenesis II requires which of the following to succeed?
o Frequent milk removal and nipple stimulation
o Adequate rest and alternating starting breast at each feed.
o Adequate protein and carbohydrates for the mother.
o Adequate maternal hydration and lack of maternal stress. - ANSWER-
Frequent milk removal and nipple stimulation
2025/2026
CLC EXAM 2025/2026 NEWEST ACTUAL EXAM COMPLETE
200 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) || ALPP CLC EXAM STUDY
GUIDE || UPDATED VERSION ACTUAL EXAM || AWARDED
A+ ||
(T/F): Messages from the breast travel through the nervous system to the
brain. Then hormones travel to the breast through the blood stream. -
ANSWER-True
From more recent research we now know that there are ___ nipple pores
functioning per feeding.
o 3-5
o 9-27
o1
o 15-29 - ANSWER-3-5
The pituitary gland is important to:
o Oxytocin only
o Prolactin and oxytocin
o Prolactin only
o None of the lactation hormones - ANSWER-Prolactin and oxytocin
(T/F): Only new mothers have prolactin. - ANSWER-false
(T/F): As frequency of feeding decreases, prolactin levels decrease. -
ANSWER-true
(T/F): Oxytocin is released only by nipple stretching. - ANSWER-false
What is?
- Influenced by nipple stretching among other stimuli
- Temporarily affected by stress - adrenalin - ANSWER-oxytocin
2025/2026
,2|Page
What is?
- Dependent on nipple stimulation
- Not decreased by stress - ANSWER-prolactin
(T/F): Mammal milk is the same for every species. - ANSWER-false
Mammal species with higher water content:
o Feed less frequently
o Do not have good milk
o Feed more frequently
o Only need to feed during the day - ANSWER-Feed more frequently
(T/F): Deer milk has more protein than goat milk. - ANSWER-true
(T/F): Human milk is higher in fat than dog milk. - ANSWER-false
_________ is one of the highest in lactose of all mammal milks, high in
water, low in protein and fat - a very dilute mammal milk - ANSWER-human
milk
(T/F): Colostrum is made under the influence of pregnancy. - ANSWER-
true
(T/F): Prolactin from frequent nipple stimulation and frequency of milk
removal triggers lactogenesis 2. - ANSWER-false
In general, preterm milk appears to be higher in ____ than mature milk.
o Oxytocin
o Volume
o Protein, fat, and electrolytes
o Water and prolactin - ANSWER-protein, fat, and electrolytes
(T/F): Working mothers should be sure to pump an ever-increasing volume
of milk to meet the nutritional needs of a growing child. - ANSWER-False
Does breastmilk composition change as a baby gets older? - ANSWER-yes
- fat content increases which increases the calories w/out increasing the
amount of volume
2025/2026
,3|Page
(T/F): According to research, it turns out that hind milk always is the highest
fat milk. - ANSWER-false
(T/F): Faster milk removal is associated with increased fat content. -
ANSWER-true
(T/F): The gut pH for the breastfed baby gut is more basic than of the gut of
a formula fed baby. - ANSWER-false
(T/F): There is a higher iron content in breastmilk than formula. - ANSWER-
false
(T/F): Prostaglandins are an example of something that stimulate growth
and development of the gastrointestinal tract and gastrointestinal motility. -
ANSWER-true
(T/F): Secretory IGA is a component of infant formula only. - ANSWER-
false
(T/F): Suckling is something that decreases gastrin and increases
somatostatin. - ANSWER-false
(T/F): A species own milk decreases somatostatin. - ANSWER-true
(T/F): Babies lose more weight in the first post-partum days if there is labor
prior to a cesarean. - ANSWER-false
According to the American Academy of Pediatrics, all breastfeeding
newborn infants should be seen in the pediatric office by ______ days of
age.
o After 14
o 3 to 5
o 1 to 2
o 5 to 7 - ANSWER-3 to 5
Undernourished mothers make less milk than nourished mothers. -
ANSWER-false
Drinking more water increases the milk supply of breastfeeding mothers. -
ANSWER-false
2025/2026
, 4|Page
A mother with a 32 A cup bra size will not make as much milk as a mother
with a C cup size. - ANSWER-false
A staff member is fond of telling mothers how expensive it is to formula
feed and how inexpensive it is to breastfeed. What is she doing when she
talks to mothers on this topic?
o Prolonging breastfeeding
o Promoting breastfeeding
o Protecting breastfeeding
o Supporting breastfeeding - ANSWER-promoting breastfeeding
Who currently collects the most comprehensive breastfeeding statistics in
the US?
o The United States Breastfeeding Committee
o Ross Laboratories
o The Centers for Disease Control (CDC)
o The US Department of Agriculture (WIC) - ANSWER-The Centers for
Disease Control (CDC)
Which of the following statements about prolactin is TRUE?
o Prolactin is a great laxative.
o Prolactin causes milk to be released.
o Prolactin causes milk to be made.
o Prolactin is produced in the renal gland. - ANSWER-Prolactin causes milk
to be made.
Which of the following mechanisms causes oxytocin to be released?
o Complete delivery of the placenta
o Elevated levels of gastrointestinal hormones
o Frequent feeding and milk removal
o Nipple stretching with appropriate latch on - ANSWER-Nipple stretching
with appropriate latch on
Lactogenesis II requires which of the following to succeed?
o Frequent milk removal and nipple stimulation
o Adequate rest and alternating starting breast at each feed.
o Adequate protein and carbohydrates for the mother.
o Adequate maternal hydration and lack of maternal stress. - ANSWER-
Frequent milk removal and nipple stimulation
2025/2026
